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Decision support system in prehospital care: a randomized controlled simulation study
University of Borås, School of Health Science. (Prehospital akutsjukvård)
University of Borås, School of Health Science. (Prehospital akutsjukvård)
University of Borås, School of Health Science. (Prehospital akutsjukvård)
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2013 (English)In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 31, no 1, p. 143-153Article in journal (Refereed) Published
Abstract [en]

Introduction Prehospital emergency medicine is a challenging discipline characterized by a high level of acuity, a lack of clinical information and a wide range of clinical conditions. These factors contribute to the fact that prehospital emergency medicine is a high-risk discipline in terms of medical errors. Prehospital use of Computerized Decision Support System (CDSS) may be a way to increase patient safety but very few studies evaluate the effect in prehospital care. The aim of the present study is to evaluate a CDSS. Methods In this non-blind block randomized, controlled trial, 60 ambulance nurses participated, randomized into 2 groups. To compensate for an expected learning effect the groups was further divided in two groups, one started with case A and the other group started with case B. The intervention group had access to and treated the two simulated patient cases with the aid of a CDSS. The control group treated the same cases with the aid of a regional guideline in paper format. The performance that was measured was compliance with regional prehospital guidelines and On Scene Time (OST). Results There was no significant difference in the two group's characteristics. The intervention group had a higher compliance in the both cases, 80% vs. 60% (p < 0.001) but the control group was complete the cases in the half of the time compare to the intervention group (p < 0.001). Conclusion The results indicate that this CDSS increases the ambulance nurses' compliance with regional prehospital guidelines but at the expense of an increase in OST.

Place, publisher, year, edition, pages
W.B. Saunders Co. , 2013. Vol. 31, no 1, p. 143-153
Keywords [en]
Decision support system, Prehospital
Keywords [sv]
Prehospital akutsjukvård
National Category
Other Clinical Medicine
Identifiers
URN: urn:nbn:se:hb:diva-1341DOI: 10.1016/j.ajem.2012.06.030ISI: 000312954600022PubMedID: 23000323Local ID: 2320/11554OAI: oai:DiVA.org:hb-1341DiVA, id: diva2:869365
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-11-19Bibliographically approved

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Hagiwara Andersson, MagnusLundberg, LarsSuserud, Björn-OveJonsson, Anders

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